Mike Napoli reveals hip condition: avascular necrosis

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That Mike Napoli ended up accepting a one-year, $5 million guarantee from the Red Sox after originally agreeing to a three-year, $39 million contract suggested that something pretty bad was going on with his hip. The details came out today, courtesy of Napoli’s agent: Napoli was diagnosed with avascular necrosis in both of his hips.

Avascular necrosis is pretty much what it sounds like: the death of bone due to a lack of blood supply. According to Wikipedia, it’s most common in the hip, though it can also take place at the shoulder, knee and other joints.

The 31-year-old Napoli has experienced no symptoms as a result of the condition. According to his agent, it was caught at the very early stages, having been revealed in the Red Sox’s original physical. While people with avascular necrosis of the hip often end up needing a total hip replacement, that appears to be many years off in this case, if it ever proves necessary at all.

Bo Jackson’s is the most famous case of avascular necrosis, with his developing after he injured his hip in an NFL game. He later returned to baseball and the major leagues, but he was never the same kind of athlete.

Brett Favre was also diagnosed with avascular necrosis of the hip in 1992. He never required surgery and did OK for himself playing football for a couple of decades.

The Red Sox are planning on Napoli being their everyday first baseman this season after finalizing the contract. Playing the position should definitely be easier on his body than catching. Napoli said he’s on medication to help stave off any symptoms and that he’s really excited for the season to start up.

Padres may have more interest in Dallas Keuchel than Bryce Harper

Dallas Keuchel
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An interesting tidbit today from The Athletic’s Ken Rosenthal, who noted that ongoing talks between agent Scott Boras and the Padres have focused more on starting pitcher Dallas Keuchel than slugger Bryce Harper. Earlier this week, there were conflicting reports on the Padres’ level of interest in Harper — MLB Network’s Jon Heyman heard the club had not ruled out another big signing after getting Manny Machado, while Kevin Acee of the San Diego Union-Tribune talked to multiple sources who believed otherwise — but any agreement between the two is looking unlikelier by the day.

As for Keuchel, Rosenthal cautions that a potential deal is still a “longshot,” especially as the team has other, cheaper options in mind. The 31-year-old southpaw turned down a qualifying offer from the Astros last year and is likely angling for something north of the five-year, $90 million contract extension he rejected from the club in 2016. He’s coming off of another solid performance in Houston, where he went 12-11 in 34 starts with a 3.74 ERA, 2.6 BB/9, 6.7 SO/9, and 3.6 fWAR through 204 2/3 innings in 2018.

While Keuchel has failed to garner substantial interest around the league this offseason, Heyman points out that the Phillies are looking to establish themselves as frontrunners for the lefty — and they’re far less likely to have hang-ups about his asking price, too.